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The global response to the COVID-19 pandemic is the greatest science policy failure in a generation. We knew this was coming. Warnings about the threat of a new pandemic have been made repeatedly since the 1980s and it was clear in January that a dangerous new virus was causing a devastating human tragedy in China. And yet the world ignored the warnings. Why? In this short and hard-hitting book, Richard Horton, editor of the medical journal The Lancet, scrutinizes the actions that governments around the world took – and failed to take – as the virus spread from its origins in Wuhan to the global pandemic that it is today. He shows that many Western governments and their scientific advisors made assumptions about the virus and its lethality that turned out to be mistaken. Valuable time was lost while the virus spread unchecked, leaving health systems unprepared for the avalanche of infections that followed. Drawing on his own scientific and medical expertise, Horton outlines the measures that need to be put in place, at both national and international levels, to prevent this kind of catastrophe from happening again. Were supposed to be living in an era where human beings have become the dominant influence on the environment, but COVID-19 has revealed the fragility of our societies and the speed with which our systems can come crashing down. We need to learn the lessons of this pandemic and we need to learn them fast because the next pandemic may arrive sooner than we think.
This unique introduction to the essentials of global health has been constructed by medical students from all over the world through the help of Medsin (now Students for Global Health) and the International Federation of Medical Students' Association (IFMSA). The global student and trainee author team, recruited and guided initially by Drs Dan and Felicity Knights (themselves students and officers of Medsin when work commenced), identified the key areas to be covered. Then the book they put together was edited by two experts in the field: Mr B Sethia and Professor Parveen Kumar. Royalties raised from this book go to a grant fund for student global health projects. Written by medical students and junior doctors from Students for Global Health and the International Federation of Medical Students' Association (IFMSA). Edited by two experts in the field, Mr B Sethia and Professor Parveen Kumar. Royalties go to a grant fund for student global health projects.
Chronic Disease in the Twentieth Century challenges the conventional wisdom that the concept of chronic disease emerged because medicine's ability to cure infectious disease led to changing patterns of disease. Instead, it suggests, the concept was constructed and has evolved to serve a variety of political and social purposes. How and why the concept developed differently in the United States, an United Kingdom, and France are central concerns of this work. While an international consensus now exists, the different paths taken by these three countries continue to exert profound influence. This book seeks to explain why, among the innumerable problems faced by societies, some problems in some places become viewed as critical public issues that shape health policy. -- from back cover.
"An essential volume." -E. J. Dionne, Jr. * "A damning portrait" -Publishers Weekly With an introduction by Pulitzer Prize-winner Timothy Egan, the riveting, eye-opening first-draft history of the Covid-19 pandemic. Unprepared is the sweeping history of the Covid-19 pandemic-a raw, primary-source accounting of the epoch-defining event: a virus that first appeared in China in late 2019 and spread rapidly across the globe, killing hundreds of thousands, devastating economies, and changing the modern world forever. A day-by-day chronicle of the response to Covid-19 as it attacked, Unprepared gathers a range of public statements from President Trump and his administration, elected officials such as New York Governor Andrew Cuomo to Atlanta Mayor Keisha Lance Bottoms, leading journalists and scientists, and organizations from National Nurses United to the United Food and Commercial Workers union. A haunting portrait of the world scrambling for answers while the number of cases rose alongside the death toll, the book reveals not only our strengths as a people, but also the fault lines and dysfunction that plague our nation in the new millennium. Unprepared is an illuminating artifact for today and for future generations, an astonishing document of history being made, and a multifaceted narrative that drops the reader directly into the real-time experience of confusion, drama, and fear that defines the outbreak of Covid-19.
Recent debate over healthcare and its spiraling costs has brought medical error into the spotlight as an indicator of everything that is ineffective, inhumane, and wasteful about modern medicine. But while the tendency is to blame it all on human error, it is a much more complex problem that involves overburdened systems, constantly changing techno
Drawing on her family's own experiences and those of other parents facing the death of a child from illness or a life-limiting condition, Sacha Langton-Gilks explains the challenges, planning, and conversations that can be expected during this traumatic period. Practical advice such as how to work with the healthcare professionals, drawing up an Advance Care Plan, and how to move care into the home sit alongside tender observations of how such things worked in her own family's story. The book also includes a template person-centred planning document, developed by experts in the field. Empowering and reassuring, this book will help families plan and ensure the best possible end-of-life care for a child or young person.
"'None of us get out of life alive, so be gallant, be great, be gracious and be grateful for the opportunities you have.' Delivered from a wheelchair while undergoing cancer treatment, Jake Bailey's inspirational end of year speech as Head Boy at Christchurch Boys' High School made headlines around the world. Diagnosed just a week earlier with the most aggressive form of cancer - one with often fatal results - Jake didn't know whether he would have the strength to deliver the words he had written before receiving the shocking news of his illness. And he had no idea of the significance his speech would assume as he lay in hospital enduring intensive chemotherapy. In this remarkably honest account of his illness, treatment and recovery, Jake shares all that the experience has taught him. 'Before I got sick I was dying to get home from school. I was dying for the weekends. I was dying for the school holidays, and then before I knew it I was dying in Christchurch Hospital.' Confronting the possibility of death has led Jake to re-evaluate all that he took for granted in life and to encourage others to do the same. His book is an uplifting call to action to people of all ages."
The needs of clinicians predominate throughout the text, but these needs overlap with those of researchers especially in chapters covering randomized controlled trials. For readers to assess trials accurately they need to understand relevant guidelines on the conduct of trials that are emerging from methodological research. In presenting these discussions to clinicians these chapters will help researchers who also do randomized trials and provide a methodological background that enhances the quality and quantity of their research productivity.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
"ER has become the most succesful television series in the world since CHARLIE'S ANGELS. Michael Crichton created the series from his own experiences as a medical doctor in the emergency rooms, operating rooms and wards of Massachusetts General Hospital. FIVE PATIENTS is Michael Crichton's true account of the real life dramas so vividly portrayed in ER. A construction worker is seriously injured in a scaffold collapse- a middle-aged despatcher is brought in suffering from a fever that has reduced him to a delirious wreck; a young man nearly severs his hand in an accident; an airline traveller suffers chest pains; a mother of three is diagnosed with a life-threatening disease."